Individual
CARLA MARIA DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A172563
CA
207L00000X
Anesthesiology Physician
MD60963481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700223294
—
WA
Enumeration date
05/24/2013
Last updated
07/06/2021
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